Dr. Kelly Wade Mack is a Longview, Texas based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kelly Wade Mack is 12211 for General Practice Dentistry in Texas. His current practice location is 2200 Horseshoe Ln, Longview. Patients can reach him at 903-753-3673.
Dr. Kelly Wade Mack is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kelly Wade Mack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kelly Wade Mack
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2200 Horseshoe Ln, Longview, Texas, 75605-5648
Phone:
903-753-3673
Fax:
903-753-2637
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780702472
NPI Enumeration Date:
27 Mar, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Wade Mack are as mentioned below.
License Number
Specialization
State
Status
12211
General Practice Dentistry
Texas
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2200 Horseshoe Ln, Longview, Texas
Zip:
75605-5648
Phone Number:
903-753-3673
Fax Number:
903-753-2637
Patients can reach Dr. Kelly Wade Mack at 2200 Horseshoe Ln, Longview, Texas or can call to book an appointment on 903-753-3673. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.